SAMUEL JACOB WAINWRIGHT Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036156731

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

JACOB

Last Name

WAINWRIGHT

Business Name

SAMUEL JACOB WAINWRIGHT

Original Issue Date

04/27/2021

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

BOSTON

State

Zip

02128

Ever Disciplined

LastModifiedDate

04/28/2023